Management of Stage I twin-to-twin transfusion syndrome: an international survey

Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology
S MolinaA Johnson

Abstract

To determine practice patterns for evaluation and treatment of Stage I twin-to-twin transfusion syndrome (TTTS) among international physicians. An e-mail cross-sectional survey of members from the IFMSS, NAFTNet and SMFM societies and participants at a Eurofoetus-sponsored TTTS meeting was undertaken between May 2008 and November 2008. Questionnaires consisted of physician demographics and their recommendations for managing Stage I TTTS. Alternative therapies to expectant management were assessed based on the following special circumstances of the patient: residence more than 200 miles from the center, severe symptoms, or a cervical length of </= 15 mm. Eighty-one surveys were returned, giving a response rate of 84%. Five surveys were excluded as a result of duplication or missing data. Of the remaining 76 surveys, 48 were from North America, 20 were from Europe and eight were from other continents. Expectant management was the predominant recommendation (78%), followed by amnioreduction (11%), laser ablation (11%) and septostomy (1%). Recommendations for amnioreduction were exclusively from North American centers. Laser centers recommended expectant management more frequently than non-laser facilities (89% vs. 59%; P < 0.01). ...Continue Reading

References

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Citations

Sep 3, 2010·International Journal of Pediatrics·Tim Van MieghemJan Deprest
Feb 14, 2012·BJOG : an International Journal of Obstetrics and Gynaecology·A MemmoB Thilaganathan
May 2, 2016·American Journal of Obstetrics and Gynecology·Stephen P EmeryUNKNOWN North American Fetal Therapy Network
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Jul 15, 2015·Clinical Obstetrics and Gynecology·Anthony Johnson
Jun 8, 2021·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·K HessamiA A Shamshirsaz

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